What limits during an ultramarathon?
What are the Limiting Factors During an Ultra-Marathon? A Systematic Review of the Scientific Literature. The aim of this review was to analyze factors that restricted performance with ultra-marathons and mountain ultra-marathons. A literature search in a database (pubmed) was carried out in February 2019.The information quality The article was assessed by the evidence level of Oxford and the scale of the Physiotherapy Evidence Database (Pedro). The search strategy gave a total of 111 quotes, 23 of which fulfilled the inclusion criteria.21 The 23 trimged studies had an evidence degree 2B (single cohort study), while the two remaining studies had an evidence of 5 (expert opinion). The mean value on the pedro scale was 3.65 ± 1.61 with values between 0 and 7. Participants were characterized in all studies as experienced or well-trained athletes. The total number of participants was 1'002 (893 men, 86 women and 23 unknown). The results of this overview suggest that fatigue in extreme duration is a multifactorial phenomenon that includes physiological, neuromuscular, biomechanical and cognitive factors.
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